MxRady

INSTRUCTIONS :

( Please read following instruction carefully, before filling in the form )

a) This form is to be filled in by the applicant.

b) Applicant who knowingly or willfully furnishes incorrect or false information or suppresses material information will be disqualified and if appointed will be liable for dismissal without notice.

Post Applied For :

For City/ State:

Date of Interview :

DD MM YYYY

Time :

Name in Full (in block letters) Mr./Ms./Mrs.

Address Present :

Address Permanent :

Phone :

Date of Birth :

YYYY

Place of Birth :

State :

Age :

Caste :

Domicile :

Height :

Weight :

Kg.

Vision :

Phaysical handicap if any :

Hobbies :

MARITAL STATUS :

Bachelor

Married

Widow

Widower

Divorcee


Children (If any)	Name	Age	Qualification	Occupation	Income (PM)






Wife

Father

Brother / Sister

Mother

Other Family Member

EDUCATIONAL QUALIFICATION :

Sr. No.

Examination Passed

School / College / University

Class / Division

% of Marks

Subjects

Year of Passing

Note : Furnish Exact Details of - Break in Your Educational Career if Any

Particulars of Special Training Undergone

Any Visit to Abroad ? if so give details.

Do You Possess a Passoport ?
if so provide

Number :

Validity :

YYYY

Yes No

Driving licence No.

Validity :

YYYY

WORK EXPERIENCE :

Sr. No.	Name of the Organisation	Designation	Period of Employment		Last Salary Drawn Per Month
			From	To
			Mth / Yr.	Mth / Yr.
1.

2.

3.